A patient diagnosed with cor pulmonale would most benefit from _because_______

an ACE-inhibitor medication: it will act as an inotrope and help to eliminate murmurs.

a diuretic: it will decrease preload and therefore decrease the workload of the heart.

a lab check of his troponin level: a troponin level will distinguish between right and left ventricular failure

a diuretic: it will counteract the dehydration present in most cases of cor pulmonale.

Answer and Explanation

The Correct Answer is B

A. While ACE inhibitors can be beneficial for heart failure management, they do not specifically eliminate murmurs and are not primarily used as inotropes in cor pulmonale management.
B. Cor pulmonale, characterized by right heart failure due to lung disease, often leads to fluid overload. A diuretic helps to decrease preload by promoting diuresis, thus reducing the workload on the heart and alleviating symptoms of congestion.
C. Troponin levels are used to assess myocardial injury rather than to distinguish between right and left ventricular failure; this is not a primary concern in cor pulmonale management.
D. Cor pulmonale is typically associated with volume overload rather than dehydration; therefore, using a diuretic to counteract dehydration is incorrect. The focus should be on reducing excess fluid to manage heart failure symptoms.

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Correct Answer is C

Explanation

A. While CKD does reduce erythropoietin production, this affects anemia rather than bone health or fracture risk.

B. CKD often leads to decreased calcium absorption due to impaired vitamin D activation, not an increased absorption.C. In CKD, the kidneys lose the ability to convert vitamin D to its active form, impairing calcium absorption from the intestine and weakening

A. Stable angina. B. Pulmonary embolus. C. Myocardial infarction. D. Unstable angina.

Correct Answer is A

Explanation

A. Stable angina is characterized by chest pain or discomfort that occurs with physical exertion or stress and is relieved with rest or nitroglycerin.

B. Pulmonary embolus typically causes sudden shortness of breath, chest pain, and possible hemoptysis, but not a pattern that resolves with rest or cessation of activity.

C. Myocardial infarction (MI) typically causes prolonged chest pain that does not resolve quickly and is not relieved by rest.

D. Unstable angina is more severe than stable angina, occurring at rest or with minimal activity, and does not resolve quickly. It also increases in frequency and intensity over time.

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A patient diagnosed with cor pulmonale would most benefit from _____because___________

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